Sports and Functional Medicine

NPI #1174829584 in Scottsdale, Arizona

Provider Information

NPI Number
1174829584
Entity Type
Organization
Organization Name
Sports and Functional Medicine
Primary Specialty
Chiropractor
Enumeration Date
Feb 2, 2011
Last Updated
Mar 2, 2011

Practice Location

Address
9316 E RAINTREE DR
Address 2
SUITE 140
State
Arizona
ZIP Code
85260-3005
Phone
(480) 614-2322

Authorized Official

Name
DR. SIMON MARK BILLINGHAM, D.C.
Title
PRESIDENT
Phone
(480) 614-2322

Specialties & Taxonomy Codes

Specialty
Chiropractor

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